Individual provider Active NPI

Joseph Ryan Walsh, PA

  • Physician Assistant
  • Saint Peters, MO
National Provider Identifier
1962867457
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2016004094 Issued in MO
Practice address
100 Entrance Way
Dept Neurological Surgery, Ste B
Saint Peters, MO 63376-1645
Phone
(636) 916-7140
Fax
(636) 916-7139
NPI assigned
Dec 28, 2015
Sex
Male
Sole proprietor
No

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington University 2,968 clinicians
Elite Physical Therapy of Creve Coeur LLC 85 clinicians
Physical Therapy Spine and Sports Medicine LLC 123 clinicians

Practice addresses (Care Compare)

1 Barnes Jew Hosp PLZ
Saint Louis, MO 63110-1003
Phone (314) 514-3500

12634 Olive Blvd
Saint Louis, MO 63141-6337
Phone (314) 996-8080

12788 Olive Blvd
Creve Coeur, MO 63141-6211

15425 Manchester Rd
Suite 28
Ballwin, MO 63011-3077
Phone (636) 220-6969

3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone (314) 996-5433

4921 Parkview PL
Saint Louis, MO 63110-1032

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179
  • Missouri Baptist Medical Center Hospital, Saint Louis, MO, CCN 260108
  • SSM Health Rehabilitation Hospital Inpatient rehabilitation facility, Richmond Heights, MO, CCN 263031

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20160212001340 MO Practitioner - Physician Assistant 8820392772 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Apr 5, 2021 Accepting new patients
Washington University CurrentSince Jun 16, 2025 Accepting new patients
Pro Pain LLC CurrentSince Sep 25, 2024 Accepting new patients
American Current Care of Kansas PA CurrentSince May 2, 2017 Accepting new patients
Pro Pain LLC CurrentSince Sep 25, 2024 Accepting new patients
Cep America LLC CurrentSince Oct 1, 2016 Accepting new patients
Washington University CurrentSince Apr 5, 2021 Accepting new patients
Cep America LLC CurrentSince Oct 1, 2016 Accepting new patients
Washington University Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

14532 South Outer 40 Rd
Ste 200
Chesterfield, MO 63017

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

1055 Bowles Ave
Ste 202
Fenton, MO 63026
Phone (636) 326-7821

6401 E Front St
Kansas City, MO 64120
Phone (816) 241-0603

83 Progress Pkwy
Maryland Hts, MO 63043
Phone (314) 434-8174

3871 Mexico Rd
Saint Charles, MO 63303
Phone (636) 477-6344

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330

4921 Parkview Pl
Ste 6A6B12A
Saint Louis, MO 63110
Phone (314) 747-2551

3009 N Ballas Rd
Ste 304A
Saint Louis, MO 63131
Phone (314) 842-2100

660 S Euclid Ave
Saint Louis, MO 63110

3009 N Ballas Rd
Ste 320
Saint Louis, MO 63131
Phone (314) 514-5400

12634 Olive Blvd
Saint Louis, MO 63141
Phone (314) 434-0600

660 S Euclid Ave
#8057
Saint Louis, MO 63110
Phone (314) 747-2053

1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170

4800 Mexico Rd
Ste 101
Saint Peters, MO 63376
Phone (636) 442-5035

10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522

100 Entrance Way
Saint Peters, MO 63376
Phone (363) 916-7140

114 Piper Hill Dr
Ste 103
Saint Peters, MO 63376
Phone (314) 308-5009

114 Piper Hill Dr
Ste 201
Saint Peters, MO 63376
Phone (314) 690-1525

100 Entrance Way
Ste B
Saint Peters, MO 63376
Phone (636) 916-7140

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2016004094 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

100 Entrance Way
Dept Neurological Surgery, Ste B
Saint Peters, MO 63376-1645

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (636) 916-7140

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
220035332MedicaidMO

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 17, 2025.

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1962867457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "636-916-7140",
            "fax_number": "636-916-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ENTRANCE WAY",
            "address_2": "DEPT NEUROLOGICAL SURGERY, STE B",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761645",
            "telephone_number": "636-916-7140",
            "fax_number": "636-916-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "JOSEPH",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-28",
        "last_updated": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2016004094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220035332",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "100 Entrance Way",
            "address_2": "Dept Neurological Surgery, Ste B",
            "city": "Saint Peters",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633761645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.